[1]张街书,刘 成,戴鑫宇.补阳还五汤加减辅助治疗对脑梗死患者脑侧支循环建立及肢体康复的影响[J].医学信息,2026,39(01):150-153.[doi:10.3969/j.issn.1006-1959.2026.01.028]
　ZHANG Jieshu,LIU Cheng,DAI Xinyu.Effect of Modified Buyang Huanwu Decoction on the Establishment of Cerebral Collateral Circulation and Limb Rehabilitation in Patients with Cerebral Infarction[J].Journal of Medical Information,2026,39(01):150-153.[doi:10.3969/j.issn.1006-1959.2026.01.028]
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补阳还五汤加减辅助治疗对脑梗死患者脑侧支循环建立及肢体康复的影响()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
39卷
期数:
2026年01期
页码:
150-153
栏目:
照护实践信息
出版日期:
2026-01-01

文章信息/Info

Title:
Effect of Modified Buyang Huanwu Decoction on the Establishment of Cerebral Collateral Circulation and Limb Rehabilitation in Patients with Cerebral Infarction
文章编号:
1006-1959（2026）01-0150-04
作者:
张街书1; 刘 成2; 戴鑫宇3
万年县中医院内三科1，康复科2，老年病科3，江西 万年 335500
Author(s):
ZHANG Jieshu1;  LIU Cheng2;  DAI Xinyu3
The Third Department of Internal Medicine1, Department of Rehabilitation2, Department of Geriatrics3, Wannian Hospital of Traditional Chinese Medicine, Wannian 335500, Jiangxi, China
关键词:
补阳还五汤加减; 脑梗死; 脑侧支循环; 肢体功能
Keywords:
Modified Buyang Huanwu decoction;  Cerebral infarction;  Collateral circulation;  Limb function
分类号:
R743.3
DOI:
10.3969/j.issn.1006-1959.2026.01.028
文献标志码:
A
摘要:
目的 探讨补阳还五汤加减辅助治疗对脑梗死患者脑侧支循环建立及肢体康复的影响。方法 选取2023年1月-2025年1月万年县中医院收治的60例脑梗死患者，按照随机数字表法分为对照组和观察组，每组30例。对照组应用阿司匹林联合阿托伐他汀治疗，观察组在对照组基础上应用补阳还五汤加减辅助治疗。比较两组临床疗效、脑侧支循环水平[脑血流量（CBF）、脑血容量（CBV）、平均通过时间（MTT）]、肢体功能（上肢FMA评分、下肢FMA评分）。结果 观察组治疗总有效率（96.67%）高于对照组（80.00%）（P＜0.05）。两组治疗后CBF、CBV均较治疗前升高，而MTT均较治疗前降低，且观察组治疗后CBF、CBV升高幅度大于对照组，而MTT降低幅度大于对照组（P＜0.05）；两组治疗后上肢FMA评分、下肢FMA评分均较治疗前升高，且观察组治疗后上肢FMA评分、下肢FMA评分升高幅度大于对照组（P＜0.05）。结论 补阳还五汤加减辅助治疗脑梗死患者的临床疗效确切，能够改善患者脑侧支循环水平，提高肢体功能，值得临床应用。
Abstract:
Objective To investigate the effect of modified Buyang Huanwu decoction on the establishment of cerebral collateral circulation and limb rehabilitation in patients with cerebral infarction. Methods From January 2023 to January 2025, 60 patients with cerebral infarction admitted to Wannian County Hospital of Traditional Chinese Medicine were chosen and randomly divided into a control group and an observation group, each comprising 30 patients. The control group received aspirin and atorvastatin, while the observation group was given modified Buyang Huanwu decoction in addition to the same treatment as the control group. The clinical effectiveness, cerebral collateral circulation parameters [cerebral blood flow (CBF), cerebral blood volume (CBV), mean transit time (MTT)], and limb function (upper limb FMA score, lower limb FMA score) were assessed in both groups. Results The total effective rate of treatment in the observation group (96.67%) was higher than that in the control group (80.00%) (P<0.05). After treatment, the CBF and CBV in the two groups were higher than those before treatment, while the MTT was lower than that before treatment, and the increase of CBF and CBV in the observation group was greater than that in the control group, while the decrease of MTT level was greater than that in the control group (P<0.05). After treatment, the upper limb FMA score and lower limb FMA score of the two groups were higher than those before treatment, and the increase of upper limb FMA score and lower limb FMA score in the observation group was greater than that in the control group (P<0.05). Conclusion Modified Buyang Huanwu decoction has a definite clinical effect in the adjuvant treatment of patients with cerebral infarction, which can improve the level of cerebral collateral circulation and improve limb function. It is worthy of clinical application.

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更新日期/Last Update: 1900-01-01